Individual
SUSAN LYNN CHESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 636-4878
(360) 414-7457
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 414-2048
(360) 575-6749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00148452
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006417
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200428
LABOR & IND.
WA
05
—
299804
—
OR
01
—
8943330
CRIME VICTIMS
WA
05
—
9639105
—
WA
Enumeration date
07/03/2006
Last updated
07/09/2007
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